Left ventricular thrombus with a normal heart.

Area of Science:

• Cardiology
• Cardiac Surgery
• Vascular Surgery

Background:

• Left ventricular masses can cause systemic embolization, even in patients with normal cardiac function.
• Transthoracic echocardiography is crucial for diagnosing cardiac masses.
• Surgical intervention is often recommended to prevent embolic complications.

Observation:

• A 44-year-old male presented with recurrent systemic embolization.
• Echocardiography revealed a left ventricular mass with a fibrous stalk attached to the endocardium.
• Cardiac function and dimensions were normal, with no signs of heart dilation.

Findings:

• The left ventricular mass was pathologically identified as an organized thrombus.
• A transaortic video-assisted endoscopic approach enabled complete resection of the mass.
• The procedure was performed without the need for a left ventriculotomy, preserving cardiac integrity.

Implications:

• Minimally invasive endoscopic resection is a viable and effective treatment for left ventricular thrombi.
• This approach can prevent further systemic embolization in patients with cardiac masses.
• Preserving normal cardiac function through less invasive surgery improves patient outcomes.